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Individual

MR. CHAD A CARPENTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
1510 S MAIN ST, BOERNE, TX 78006
(830) 816-4357
(830) 331-8718
Mailing address
1510 S MAIN ST, BOERNE, TX 78006
(830) 816-4357
(830) 331-8718

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
TX 8280
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
8B7780
MEDICARE PTAN
TX
01
8B8305
MEDICARE PTAN
TX
Enumeration date
11/15/2006
Last updated
06/21/2016
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